Problems addressed

Effectiveness

Promising

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Promising

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Description

Cognitive behavioral interventions basically consist of a problem-focused approach that seeks to help individuals identify and change dysfunctional beliefs, thoughts, and patterns that contribute to the incidence of problematic (antisocial, risky, and criminal) behaviors.
Cognitive behavioral interventions fundamentally place a functional emphasis on analyzing behaviors and their relationship to cognitions, in particular the patterns of interpretation of social situations and the decision-making processes followed by offenders.
These interventions are based on the principles of cognitive behavioral psychotherapy, although this does not imply that the intervention is in itself “therapeutic”, nor that the user has mental health disorders. Interventions can be psychological or psychosocial in nature, and can be delivered individually, in groups, face-to-face, or electronically (e.g., via video calls).
This type of intervention is one of the most widely used currently, both in the field of secondary prevention and in social reintegration, due to its effectiveness. Regarding its application to reduce recidivism specifically, cognitive behavioral interventions focus on the development of social skills that facilitate communication, social integration, and the construction and activation of support networks for current/former detainees. They also include the detection and modification of attitudes and cognitive orientations that favor the maintenance of the problematic behaviors identified.

Country of application
  • Canada
  • United States
  • Netherlands
  • Honduras
  • United Kingdom
Evidence

A systematic review conducted by the Campbell Collaboration looked at cognitive behavioral interventions applied to law offenders and found a 25% reduction on average in recidivism, with the most effective configurations of this type of intervention achieving reductions by up to 50%. The study also indicates that no significant variations in intervention efficacy have been identified whether the treated population is adolescent or adult, so, all other things beings equal, Cognitive Behavioral Therapy (CBT) tends to be effective for both juveniles and adults. This systematic review also points out two other important aspects. First, the most decisive factor for the effectiveness of interventions is the quality of their implementation (how well implemented the programs are and how well trained the providers are); secondly, the results reveal that CBT has a greater effect among offenders at a high risk of recidivism than among those at a lower risk [1].
The Crime Solutions Platform rates this type of intervention as promising both in terms of reducing criminal recidivism and when applied to adult offenders whose likelihood of recidivism is estimated to be at a moderate to high risk [2].
When applied as an anger management strategy for adult male offenders, the practice is also rated as promising in terms of reducing criminal recidivism (including violent crime recidivism) by Crime Solutions.
Specifically in this case, offenders who participated and completed treatment showed a 42% reduction in the risk of overall criminal recidivism and a 56% reduction in the risk of reconviction for violent crime, compared to those who did not participate in the intervention [3].
Finally, the Crime Solutions Platform has also collected evidence of the application of CBT to reduce antisocial behavior in juvenile offenders under house arrest. In this case, however, the practice is rated as “no effect” in terms of reducing recidivism (measured after a follow-up period of 24 months). However, according to the Crime Reduction Toolkit summary, these insufficient results can be explained by the fact that residential programs may have difficulties in maintaining and generalizing behavioral changes if peers, family, and school cannot be directly included in the treatment programs. This is because, in the framework of CBT, it is important that the intervention includes mechanisms that provide individuals in treatment with the opportunity to practice new skills and behaviors in settings where they occur naturally in everyday life [4].

Bibliography

[1] Lipsey, M. W., Landenberger, N. A., Wilson, S. J. (2007). Effects of Cognitive‐Behavioral Programs for Criminal Offenders. Campbell Systematic Reviews, 3(1), 1–27. https://doi.org/10.4073/csr.2007.6

[2] Aos, S. & Drake, E. (2013). Prison, Police, and Programs: Evidence-Based Options that Reduce Crime and Save Money (Documents núm. 13-11-1901). Olympia, WA. Washington State Institute for Public Policy. https://www.wsipp.wa.gov/ReportFile/1396/Wsipp_Prison-Police-and-Progra…

[3] Henwood, K. S., Chou, S., Browne, K. D. (2015). A systematic review and meta-analysis on the effectiveness of CBT informed anger management. Aggression and Violent Behavior, 25(1), 280–292. https://doi.org/10.1016/j.avb.2015.09.011

[4] Armelius, B. & Tore H. A. (2007). Cognitive-Behavioral Treatment for Antisocial Behavior in Youth in Residential Treatment. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD005650.pub2

Evaluated cases

Community Reinforcement + Vouchers Approach (CRA + Vouchers)

Intensive Outpatient Program Matrix Model

Regional Treatment Centre High Intensity Sex Offender Treatment Program (Canada)

Turning Point Multiple DUI Treatment Program

San Juan County (N.M.) DWI First-Offense Program

Acceptance and Commitment Therapy (ACT) for Partner Aggression

Why might the cases evaluated have different levels of effectiveness in relation to their respective type of solution?
Click here to understand why.

Some cases were not included in the evidence bank due to deficiencies detected in the methodology of their impact evaluations.
Click here to see the list

 

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